MATTHEW MASON DAVIS (NPI# 1528157492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528157492 |
| Entity Type | Individual |
| Full Name | MATTHEW MASON DAVIS |
| Credential | MD |
| Practice Address |
1051 North Canton Center Rd Canton MI 48187-5097 |
| Mailing Address |
3621 S State St 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 7348445400 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2012-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301075974 | MI | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 4301075974 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4207575 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467088054 | Matthew John Davis | Dentist | 502 Us Highway 70 W, Havelock, NC 28532-9510 | 2020-03-16 |
| 1881177517 | Matthew Davis | Contractor | 2612 Goodes Bridge Rd Ste A, North Chesterfield, VA 23224-2567 | 2018-09-10 |
| 1477908838 | Matthew Davis | Contractor | 6124 E 22nd Ave, Anchorage, AK 99504-3214 | 2016-05-04 |
| 1760890438 | Matthew Davis | Registered Nurse | 2464 Mczand Blvd, Grove City, OH 43123-1461 | 2014-07-25 |
| 1508289000 | Matthew Lay Davis | Durable Medical Equipment & Medical Supplies | 73 Glenway Pl, Brandon, MS 39042-2530 | 2014-02-04 |
| 1639475346 | Matthew William Davis | Urology | 576 Fifth Ave, Suite 903, New York, NY 10036 | 2011-01-28 |
| 1003146317 | Matthew Lee Davis | Nurse Anesthetist, Certified Registered | 5701 Stratford Lane, Lakeland, FL 33813 | 2010-01-08 |
| 1467788356 | Matthew James Davis | Massage Therapist | 549 W Katelyn Ln, Spokane, WA 99224-8452 | 2009-10-27 |
| 1982938999 | Matthew Davis | Counselor | 3358 S 2nd St Ste D, Cabot, AR 72023-7876 | 2009-09-23 |
| 1447403811 | Matthew John Davis | Dentist | 477 N El Camino Real Ste B203, Encinitas, CA 92024-1353 | 2008-10-29 |
| Street Address |
1051 NORTH CANTON CENTER RD |
| City | CANTON |
| State | MI |
| Zip Code | 48187-5097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316915705 | Karen Lynn Foor | Physician Assistant | 1051 North Canton Center Rd, Canton, MI 48187-5097 | 2006-03-10 |
| 1265896682 | Mark Urbanski | Pediatrics | 1051 North Canton Center Rd, Canton, MI 48187-5097 | 2016-04-12 |
| 1851705883 | Alex Friedman Peahl | Obstetrics & Gynecology | 1051 North Canton Center Rd, Canton, MI 48187-5097 | 2014-06-18 |
| 1386821387 | Thomas Charles Shope | Pediatrics | 1051 North Canton Center Rd, Canton, MI 48187-5097 | 2008-01-22 |
| 1144437526 | Mark Nabeel Hakim | Internal Medicine | 1051 North Canton Center Rd, Canton, MI 48187-5097 | 2007-05-16 |
| 1740408152 | Susan Sabina Dybowski | Nurse Practitioner | 1051 North Canton Center Rd, Canton, MI 48187 | 2007-04-23 |
| 1679790752 | Nancy Lynn Ferry | Nurse Practitioner | 1051 North Canton Center Rd, Canton, MI 48187 | 2007-04-19 |
| 1639394083 | Heidi Leigh Mason | Nurse Practitioner | 1051 North Canton Center Rd, Canton, MI 48187 | 2007-04-13 |
| 1972727600 | Rebecca Michelle Northway | Internal Medicine | 1051 North Canton Center Rd, Canton, MI 48187-5097 | 2007-04-12 |
| 1417171513 | Amy Elizabeth Hepper | Internal Medicine | 1051 North Canton Center Rd, Canton, MI 48187-5097 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547874 | Savannah Dugan | Occupational Therapist | 5969 N Canton Center Rd, Canton, MI 48187 | 2020-04-23 |
| 1225674823 | Cura Professional Group | Home Health | 1638 East Lakeview Lane, Canton, MI 48187 | 2019-11-19 |
| 1740825207 | Vlp Can LLC | Dentist | 39883 Ford Rd., Canton, MI 48187 | 2019-11-08 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1447734496 | Integrated Health Pharmacy LLC | Pharmacy | 49650 Cherry Hill Rd., Canton, MI 48187 | 2018-09-16 |
| 1285117499 | Susan Rhoton | Licensed Vocational Nurse | 6223 N Canton, Suite 201, Canton, MI 48187 | 2018-09-13 |
| 1285110767 | Personalized Nursing Light House Inc | Substance Abuse Rehabilitation Facility | 7752 N Canton Center Rd Ste 120, Canton, MI 48187 | 2018-07-17 |
| 1083111793 | Heydie Alejandra Orr | Social Worker | 5840 N Canton Center Rd Ste 221, Canton, MI 48187 | 2018-04-09 |
| 1285139204 | Chawla Enterprises Inc | Durable Medical Equipment & Medical Supplies | 5840 N Canton Center Rd Ste 222, Canton, MI 48187 | 2018-03-30 |
| 1689192221 | Arcturus Pllc | Physical Therapist | 5820 Lilley Rd. Suite 6, Canton, MI 48187 | 2017-09-04 |
| Find all providers in zip 48187 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801264098 | Dhanalakshmi Senniappan | Pediatrics | Henry Ford Canton Medical Center, 6100 N Haggerty Rd, Canton, MI 48187-2169 | 2015-09-04 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1194037150 | Pediatric Center of Canton, LLC | Pediatrics | 1445 Harrison Ave. Nw, Suite 300 & 306, Canton, OH 44708 | 2010-07-07 |
| 1194046318 | Megan Ann Olson | Pediatrics | 1051 North Canton Rd, Canton, MI 48187-5097 | 2010-06-22 |
| 1992026140 | Jordan H Weitzner | Pediatrics | 2020 Cumming Hwy Ste 102, Canton, GA 30115-8071 | 2010-06-22 |
| 1639407679 | Augusto Rafael Martinez | Pediatrics | 1208 Davenport Ave, Canton, MA 02021-1012 | 2009-12-03 |
| 1295989002 | E. A. Malacaman M. D. LLC | Pediatrics | 3120 Parkway St Nw Ste C, Canton, OH 44708 | 2008-11-06 |
| 1922261106 | Jonathan A. Cheek, M.d. | Pediatrics | 134 Riverstone Ter, Suite 103, Canton, GA 30114-1706 | 2008-07-08 |
| 1598923294 | Hayley Griffin Teich | Pediatrics | 49650 Cherry Hill Rd Suite 210, Canton, MI 48187-1920 | 2008-05-29 |
| 1699832519 | G A Carmichael Family Health Center Inc | Pediatrics | 644 Finney Road, Canton, MS 39046 | 2007-01-02 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.